A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks

Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most important tool to control pain in rheumatic diseases; however, their application is limited by the risk of serious complications in the cardiovascular system and gastrointestinal tract (GIT). The advent of a Russian new drug that is a naprox...

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Main Authors: Andrei Evgenyevich Karateev, L I Alekseeva, S G Anikin
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2013-03-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/472
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author Andrei Evgenyevich Karateev
L I Alekseeva
S G Anikin
author_facet Andrei Evgenyevich Karateev
L I Alekseeva
S G Anikin
author_sort Andrei Evgenyevich Karateev
collection DOAJ
description Nonsteroidal anti-inflammatory drugs (NSAIDs) are the most important tool to control pain in rheumatic diseases; however, their application is limited by the risk of serious complications in the cardiovascular system and gastrointestinal tract (GIT). The advent of a Russian new drug that is a naproxen and esomeprazole combination (Vimovo™) extends the possibilities of NSAIDS use. This review considers the benefits of both NEC components. The former is naproxen, a traditional NSAIDS that is in common use as an effective analgesic worldwide. Its chief merit is the least cardiovascular risk among all NSAIDs (aside from aspirin). Esomeprazole is a representative of the group of proton pump inhibitors, a potent antisecretory drug that has passed major tests as an agent for the prevention of NSAID-related GIT complications. This drug combination allows patient incompliance to gastroprotective therapy to be eliminated. Large-scale clinical trials have confirmed a considerable reduction in the frequency of GIT complications with NSAIDS use as compared to the standard enteric-coated naproxen, including in patients receiving low-dose aspirin. Comparison of NEC with celecoxib has indicated that the new medication is as effective as a selective COX-2 inhibitor in both efficacy and GIT safety.
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spelling doaj.art-5dfc4c704a274f85b8bc7fed08caa3972023-03-13T08:39:23ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2013-03-0171829310.14412/1996-7012-2013-23741777A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risksAndrei Evgenyevich KarateevL I AlekseevaS G AnikinNonsteroidal anti-inflammatory drugs (NSAIDs) are the most important tool to control pain in rheumatic diseases; however, their application is limited by the risk of serious complications in the cardiovascular system and gastrointestinal tract (GIT). The advent of a Russian new drug that is a naproxen and esomeprazole combination (Vimovo™) extends the possibilities of NSAIDS use. This review considers the benefits of both NEC components. The former is naproxen, a traditional NSAIDS that is in common use as an effective analgesic worldwide. Its chief merit is the least cardiovascular risk among all NSAIDs (aside from aspirin). Esomeprazole is a representative of the group of proton pump inhibitors, a potent antisecretory drug that has passed major tests as an agent for the prevention of NSAID-related GIT complications. This drug combination allows patient incompliance to gastroprotective therapy to be eliminated. Large-scale clinical trials have confirmed a considerable reduction in the frequency of GIT complications with NSAIDS use as compared to the standard enteric-coated naproxen, including in patients receiving low-dose aspirin. Comparison of NEC with celecoxib has indicated that the new medication is as effective as a selective COX-2 inhibitor in both efficacy and GIT safety.https://mrj.ima-press.net/mrj/article/view/472ревматические заболеваниянестероидные противовоспалительные препаратыгастропротективная терапияфиксированная комбинация напроксена и эзомепразола
spellingShingle Andrei Evgenyevich Karateev
L I Alekseeva
S G Anikin
A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks
Современная ревматология
ревматические заболевания
нестероидные противовоспалительные препараты
гастропротективная терапия
фиксированная комбинация напроксена и эзомепразола
title A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks
title_full A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks
title_fullStr A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks
title_full_unstemmed A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks
title_short A combination of naproxen and esomeprazole: Analgesic therapy on balancing cardiovascular and gastrointestinal risks
title_sort combination of naproxen and esomeprazole analgesic therapy on balancing cardiovascular and gastrointestinal risks
topic ревматические заболевания
нестероидные противовоспалительные препараты
гастропротективная терапия
фиксированная комбинация напроксена и эзомепразола
url https://mrj.ima-press.net/mrj/article/view/472
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